Advertisement

Role of pain injection procedures in the management of chronic pain

  • Lorraine E. de Gray
    Affiliations
    Dr Lorraine E de Gray MD LLM FRCA FFPMRCA is a Consultant in Anaesthesia and Pain Medicine, Queen Elizabeth Hospital NHS Foundation Trust, King's Lynn, UK. Conflicts of interest: none declared
    Search for articles by this author

      Abstract

      The paper offers an overview of pain intervention procedures which are just one facet of a holistic approach to managing pain. They can have a therapeutic and/or diagnostic focus, at times being useful in terms of guiding the clinician to useful pointers to the source of pain, and at others allowing windows of opportunity of pain relief to allow the patient to engage with other modes of pain management such as physiotherapy or occupational therapy with a common goal of improving level of function. The paper explores the importance of managing patient expectations, providing clear patient information and acquiring appropriate patient consent. It provides a brief overview of different procedures, drugs and other modalities as well as imaging used in their delivery.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Anaesthesia & Intensive Care Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      Further reading

        • Baranidharan G.
        • Rajesakar N.
        Implantable technology in pain medicine..
        Anaesth Intensive Care Med. 2022; 23: 78
      1. Faculty of Pain Medicine, Royal College of Anaesthetists, patient information website: https://fpm.ac.uk/patients/patient-info

      2. Faculty of Pain Medicine outcome measures. January 2019
      3. Faculty of Pain Medicine and British Pain Society: National standards for delivery interventional pain procedures: https://fpm.ac.uk/standards-guidelines/clinical-guidelines

        • General Medical Council
        Decision making and consent.
        November 2020
        • Huygen F.
        • Kallewaard J.W.
        • van Tulder M.
        • et al.
        "Evidence-Based interventional pain medicine according to clinical diagnoses": Update 2018.
        Pain Pract. 2019; 19 (Epub 2019 May 2): 664-675https://doi.org/10.1111/papr.12786
        • Joshi M.
        • Mendoza B.
        Neurodestructive interventions for cancer pain.
        Practical Pain Management. 2020; 20: 58-61
        • Liberman A.C.
        • Budziñski M.L.
        • Sokn C.
        • Gobbini R.P.
        • Steininger A.
        • Arzt E.
        Regulatory and mechanistic actions of glucocorticoids on T and inflammatory cells.
        Front Endocrinol. 2018; 9: 235
      4. Montgomery v Lanarkshire Health Board [2015] SC 11 [2015] 1 AC 1430.

      5. Montgomery and informed consent: where are we now?.
        BMJ. 2017; 357 (j2224)
        • Mendis V.
        • Mottaleb R.
        • Sethi S.
        Radiofrequency techniques in the management of pain.
        Anaesth Intensive Care Med. 2022; 23
        • Zacharias N.
        • Karri J.
        • Garcia C.
        • Lachman L.
        • Abd-Elsayed A.
        Interventional radiofrequency treatment for the sympathetic nervous system: a review article.
        Pain Therapy. 2021; 10: 115-141